MEDICARE: M & J CARE ADVANCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		VA

General Provider Information

NPI Number	:	1013357888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M & J CARE ADVANCE

Provider Business Mailing Address
First Line	:	6020 BLUFFWOOD CT
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23234-3209
Country	:	US
Telephone Number	:	757-816-7842
Fax Number	:

Provider Business Practice Location Address
First Line	:	2911 TURNER RD
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23224-2545
Country	:	US
Telephone Number	:	757-816-7842
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JASON JACKSON
Credential	:
Telephone Number	:	757-816-7842

Provider Enumeration Date	:	06/26/2013
Last Update Date	:	06/26/2013

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Directions to “M & J CARE ADVANCE ” Practice Location

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